Registration form for 2024-2025 Academic Year
WELCOME LETTER
Student Information
*
Indicates required field
Student Name
*
First
Last
Date of Birth (mm/dd/yy)
*
Gender
*
Male
Female
Grade Level
*
Pre-Level
K-Level
Level 1
Level 2
Level 3
Level 4
Level 6
Level 5
MS Level-1
MS Level-2
MS Level-3
MS Level-4
Allergies/Health Concerns and Health Care Provider
*
I permit IIE sunday school to display pictures of my child on the iie sunday school website
*
Yes
No
I authorize IIE to administer the following medications to my child in the case of an emergency:
*
Tylenol
Asprin
Midol
Benadryl
Ibuprofen
None of the above
Parent Information
Primary Guardian/Father Name
*
First
Last
Primary Guardian/Father Profession
*
Mother Name
*
First
Last
Mother Profession
*
Email
*
Address
*
City
*
State
*
Zipcode
*
Cell Phone Number
*
Emergency Contact Name
*
First
Last
Emergency Contact Infromation
Phone Number
*
Relationship
*
Submit
School Policy
